PASEO SHATELLE DOUGLAS (NPI# 1972155471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972155471 |
| Entity Type | Individual |
| Full Name | PASEO SHATELLE DOUGLAS |
| Credential | NP |
| Practice Address |
316 2nd St Cheraw SC 29520-2404 |
| Practice Telephone | 8439214851 |
| Mailing Telephone | 8439214851 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23045 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC LICENSING BOARD | 23045 | 01 |
| Street Address |
316 2ND ST |
| City | CHERAW |
| State | SC |
| Zip Code | 29520-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686875 | Travis Andrew Novinger | Family Medicine | 316 2nd St, Cheraw, SC 29520-2404 | 2006-04-06 |
| 1164061834 | Charles Patrick Mcdonald Jr. | Nurse Practitioner | 316 2nd St, Cheraw, SC 29520-2404 | 2019-12-30 |
| 1477720159 | Karen Lynn Rice Canipe | Nurse Practitioner | 316 2nd St, Cheraw, SC 29520-2404 | 2008-05-13 |
| 1932291242 | Palmetto Family Medicine of Chesterfield County, LLC | Family Medicine | 316 2nd St, Cheraw, SC 29520-2404 | 2006-09-28 |
| 1104918499 | Alison Carisa Huggins | Nurse Practitioner | 316 2nd St, Cheraw, SC 29520-2404 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233773 | Paris Bloomfield | Nurse Practitioner | 237 Hailey Rd, Cheraw, SC 29520-5834 | 2019-12-26 |
| 1063989614 | Natasha Alicia Leak | Nurse Practitioner | 2 Murray Cir, Cheraw, SC 29520-1610 | 2018-10-31 |
| 1427555622 | Tonnie Crowley Spivey | Nurse Practitioner | 132 Peachtree Dr, Cheraw, SC 29520-5810 | 2018-04-12 |
| 1164061834 | Charles Patrick Mcdonald Jr. | Nurse Practitioner | 316 2nd St, Cheraw, SC 29520-2404 | 2019-12-30 |
| 1205326477 | Kimberly Dawn Powell | Nurse Practitioner | 721 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-05-14 |
| 1942710009 | Miranda Renee Gainey | Nurse Practitioner | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2017-10-03 |
| 1063956704 | Holly Byrd Copeland | Nurse Practitioner | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2016-12-15 |
| 1942629944 | Patricia N. Moore | Nurse Practitioner | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2014-04-08 |
| 1477720159 | Karen Lynn Rice Canipe | Nurse Practitioner | 316 2nd St, Cheraw, SC 29520-2404 | 2008-05-13 |
| 1851511992 | Tracy J Teal | Nurse Practitioner | 715 S Doctors Dr, Ste. A, B, D/e, Cheraw, SC 29520-7113 | 2007-04-30 |
| Find all providers in CHERAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.